Winston B Brock is a Pharmacist in Bainbridge, Georgia. Winston B Brock practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Winston B Brock is 1770602310. The last update date is 2007-07-08.
Winston B Brock's current location address is 1205 E Shotwell St, Bainbridge, Georgia. You can contact this provider via phone number 2292461000 and fax number 2292465643. The mailing address for Winston B Brock is 1205 E Shotwell St, Bainbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Winston B Brock |
|---|---|
| Address | 1205 E Shotwell St, Bainbridge, Georgia |
| Phone Number | 2292461000 |
| Fax Number | 2292465643 |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1770602310 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1205 E Shotwell St |
|---|---|
| City | Bainbridge |
| State | Georgia (GA) |
| Post Code | 398194237 |
| Phone Number | 2292461000 |
| Fax Number | 2292465643 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PHRE006828 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55003547A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Winston B Brock by the Centers for Medicare & Medicaid Services?
The Winston B Brock has been assigned the NPI (National Provider Identifier) 1770602310 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Winston B Brock is located?
The Winston B Brock is situated at the following address: 1205 E Shotwell St, Bainbridge, GA, 398194237.
What is the area of specialization for Winston B Brock, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Winston B Brock is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date was the 1770602310 assigned to Winston B Brock?
The Winston B Brock was issued its 1770602310 on 2007-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Winston B Brock most recently updated or revised?
The details related to Winston B Brock, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.